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1
Birçok kişi, herhangi bir hekim tarafından tavsiye edilmeksizin, bitkisel ve gıda takviyesi diye adlandırılan ürünlere kolaylıkla ulaşabilmektedir. Televizyon, internet ve gazetelerde yayınlanan sık reklamlar nedeni ile hastaların bu ürünlere talebi artmaktadır. Fakat denetimsiz ve reçetesiz alınan ürünler birçok hastalığa zemin hazırlayabilmektedir. Otuz dört yaşında erkek hasta ani gelişen konuşmada bozulma, sol kol ve bacakta güç kaybı ve ajitasyon nedeni ile getirildi. Nörolojik muayenesinde; bilinci konfüze ve kooperasyonu kısıtlıydı. Sol hemiparazi (4/5) ve solda Babinski belirtisi pozitifliği saptandı. Beyin manyetik rezonans görüntüleme akut iskemi ile uyumlu difüzyon kısıtlılığı olduğunu gösterdi. Hastanın kooperasyonu düzeldikten sonra özgeçmişi tekrar sorgulandı. Son 1 haftadır arjinin, karnitin, boswellia serrata, kafein, tribulus terrestris, epimedium, beta glukan, niasin, çinko, CoQ10, tiamin, riboflavin, vitamin B6 ve selenyum içeren cinsel performansı artırdığı iddia edilen bir ürünü kullandığı öğrenildi. Genç iskemik inme yönünden tüm tetkikleri tamamlanan hastada başka risk etmeni tespit edilmedi. Bu tablonun kullanılan ürüne bağlı olabileceği düşünüldü. Bitkisel ya da gıda takviyesi diye adlandırılan ürünlerindeki birçok bileşene bağlı farklı yan etkiler izlenebilmektedir. Hastalar ve toplum bu ürünler hakkında bilgilendirilmelidir. Bu ilaçlar üzerine bilimsel araştırmalar artırılmalı ve yasal düzenlemeler yapılmalıdır.
Many people can easily access the drugs called herbal and food supplement without recommended by any doctor. The demand for these drugs is increasing by patients due to frequent advertising on television, internet and newspapers. However, uncontrolled and no prescription drugs can cause many diseases. A thirty four-year-old male patient presented with acute speech disorder, left hemiparesis and agitation. In his neurological examination; confusion and cooperative limitation were detected. Left hemiparesis (4/5) and positive left Babinski sign was detected. Brain magnetic resonance imaging showed diffuse restriction like acute ischemia. After the patient's cooperation improved, the background was again questioned. It was learned that he was taking herbal drug for improving sexual performance for 1 week. This drug contains arginine, carnitine, boswellia serrata, caffeine, tribulus terrestris, epimedium, beta glucan, niacin, zinc, CoQ10, thiamine, riboflavin, vitamin B6 and selenium. All tests were completed for young ischemic stroke and no other risk was detected. It was thought that this disease may depend on herbal drugs. There are many side effects associated with many contentsts of herbal or food supplement drugs. Patients and society should be informed about these drugs. Scientific research on these drugs should be increased and legal regulations should be made.
Many people can easily access the drugs called herbal and food supplement without recommended by any doctor. Demand of these drugs is increasing by patients due to frequent advertising on television, internet and newspapers. However, uncontrolled and no prescription drugs can cause many diseases. A thirty four-year-old male patient presented with acute speech disorder, left hemiparesis and agitation. In his neurological examination; confusion and cooperative limitation were detected. Left hemiparesis (4/5) and positive left Babinski sign was detected. Brain magnetic resonance imaging showed diffuse restriction like acute ischemia. After the patient's cooperation improved, the background was again questioned. It was learned that he was taking herbal drug for improve sexual performance for 1 week. This drug contains arginine, carnitine, boswellia serrata, caffeine, tribulus terrestris, epimedium, beta glucan, niacin, zinc, CoQ10, thiamine, riboflavin, vitamin B6 and selenium. All tests were completed for young ischemic stroke and no other risk was detected. It was thought that this disease may depend on herbal drug. There are many side effects associated with many contentsts of herbal or food supplement drugs. Patients and society should be informed about these drugs. Scientific research on these drugs should be increased and legal regulations should be made.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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